Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,943.28 / $10,964.78	Facility		$2,454.71	$7,943.28	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $3,388.44	Professional		$2,454.71	$2,818.38	$3,388.44
AllWays Health Partners Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,332.54 / $16,595.87	Facility		$3,890.45	$9,332.54	$16,595.87
AllWays Health Partners Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $13,182.57	Professional		$2,089.30	$3,467.37	$13,182.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $5,623.41	Facility		$2,344.23	$2,754.23	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,128.61	Professional		$4,265.80	$4,265.80	$5,128.61
Fallon Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $4,897.79 / $9,772.37	Facility		$83.18	$4,897.79	$9,772.37
Fallon Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,888.44	Professional		$5,011.87	$5,011.87	$5,888.44
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $7,943.28	Professional		$2,951.21	$4,365.16	$7,943.28
Mass General Brigham Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,332.54 / $16,595.87	Facility		$3,890.45	$9,332.54	$16,595.87
Mass General Brigham Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $13,182.57	Professional		$2,089.30	$3,467.37	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,467.37 / $4,168.69	Facility		$2,089.30	$3,467.37	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $7,762.47	Professional		$2,089.30	$2,691.53	$7,762.47